Can I Get My Medpor Jaw Angle Implants Replaced With New Custom Jaw Angle Implant Design?

Q: Dr. Eppley, I had silicone jaw implants done by another doctor which were subsequently removed during a jaw revision surgery. I have included the original design for your reference. Certain aspects of it, such as the subtle notch, outward gonians, and the ratio of bigonial width to bizygomatic width being 1:1, appealed to me. These implants are what I would like Eppley’s design to be if not better.

Currently I have Medpor implants that are a bit too wide and not as appealing as the initial silicone jaw implant design.

A:Your current extended jaw angle extended implants are about 8mms wide while the ones you prefer are about 3mms wide at most. These differences are in the jaw angle areas primarily, there is not much difference in the anterior extension in either implant design. Since your existing implants are Medpor there are going to be some challenges in their removal, particularly the thinner part of the implant that heads into the chin to merge into the side of the previous bony genioplasty.

Dr. Barry Eppley

World-Renowned Plastic Surgeon